| NPI | 1649044835 |
|---|---|
| Doing Business As | EAST BAY PERIODONTICS AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EVAN SANTIAGO Dr 510-547-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |